Ngaba umntwana wakho omncinci unengxaki yokukhupha indle? Masithethe nge-Anorectal Malformation!

Sinomdla kakhulu kuyo yonke into ngomntwana wethu osandul’ ukuzalwa, akunjalo? Ezona zinto zibalulekileyo kukuba umntwana uncancisa kakuhle na, ulele kakuhle, kwaye ukhupha amanzi ngexesha elifanelekileyo. Ngoko ke, ukuba umntwana wakho ubonakala enengxaki yokukhupha amanzi, okanye ukuba akaphumi amanzi kangangeentsuku ezimbalwa, kuyinto eqhelekileyo ukuba wena njengomama uzive ukhathazekile kakhulu. Ngamanye amaxesha isizathu soku singaba sisiphene kwi-anus nakwi-rectum esikhoyo xa ezalwa. Namhlanje siza kuthetha ngemeko enjalo `(Anorectal Malformation)`.

Yintoni le nto ibangela ukuba umntu akhule emqolo nakwi-rectum (i-Anorectal Malformation)?

Ngamafutshane, ``(Anorectal Malformation)`` kuxa i-anus kunye ne-rectum yomntwana zingakheki kakuhle ngelixa ekhula esibelekweni. Ubusazi na ukuba i-anus kunye ne-rectum ziindawo ezimbini zokugqibela zenkqubo yethu yokugaya ukutya?

Khawucinge ngoku: Abanye abantwana abanesifo esinjalo banokuba ne-anus encinci kakhulu, okanye basenokuba abanayo kwaphela i-anus. Abanye banokuba nezicubu ezigquma i-anus okanye i-rectum. Kwakhona, ngamanye amaxesha i-anus yomntwana isenokungadibani kakuhle namanye amalungu omzimba.

Kuyaqondakala ukuba uzive uloyiko olukhulu kunye nexhala xa ufumanisa ukuba umntwana wakho unale meko. Kuba, ukuba ayinyangwa kakuhle, umntwana unokuba nokuvaleka kwamathumbu. Oku kunokwenza kube nzima kakhulu ukuba nesisu, okanye kungenzeki konke konke. Kodwa eyona nto ilungileyo kukuba uninzi lwezi meko lunokunyangeka ngotyando emva nje kokuba umntwana ezelwe, ngesiqhelo kwiintsuku ezimbalwa, kwaye iziphumo zihlala zilungile.

Lithetha ukuthini igama elithi "Anus" nelithi "Rectum"?

Igama elithi "anorectal" lidibaniso lamagama athi "anus" kunye nelithi "rectum. " I-rectum yakho yinxalenye yokugqibela yamathumbu akho amakhulu, ebekwe ngaphezulu nje kwe-anus yakho. I-anus yakho yindawo apho indle iphuma khona emzimbeni wakho.

Xa sikhupha indle, indle iphuma emzimbeni nge-anus. Ngoko ke, ukuba kukho ingxaki ngale anus okanye i-rectum, inokubangela iingxaki zokukhupha indle.

Ixhaphake kangakanani le meko?

Ezi meko, ezibizwa ngokuba yi-"Anorectal Malformations", aziqhelekanga kangako. Kwanakwilizwe elifana neMelika, ngumntwana omnye kuphela kwi-5,000 ezizalwayo onesi sifo.

Zithini iimpawu zesiphene sokuzalwa kwi-anus kunye ne-rectum?

Ugqirha udla ngokubona le meko xa ehlola usana olusandul’ ukuzalwa. Ugqirha usenokubona ukuba i-anus incinci, okanye i-anus ayikho endaweni yayo. Okanye umngxuma we-anal womntwana ukwindawo engaqhelekanga endaweni yokuba ube kwindawo efanele ukuba kuyo.

Ukuba le meko ayibonwa kwangethuba, umntwana angabonakalisa iimpawu ezifana nezi:

• Ukungakwazi ukukhupha indle (ukuqunjelwa).
• Indle evuzayo kwilungu lobufazi lomntwana okanye indle ebonakalayo kumchamo (kumantombazana).
• Umchamo ophuma kwimpundu yomntwana.

Ngaba kukho iintlobo ezahlukeneyo ze-Anorectal Malformations?

Ewe, kukho iintlobo ezininzi eziphambili zale meko. Masibone ukuba zithini:

• I-Cloaca: Kulapho zombini i-urethra kunye ne-anus zinesithuba esifanayo. (Le meko yenzeka kumantombazana kuphela)
• I-Fistula: Oku kwenzeka xa i-anus yomntwana iqhagamshelwe ngendlela engaqhelekanga kwezinye iindawo zomzimba wakhe, ezifana ne-urethra, isinyi, i-vagina, okanye i-perineum (ulusu oluphakathi kwe-anus kunye namalungu esini).
• Impundu engasebenzi kakuhle: Le yimeko apho impundu kunye ne-rectum zingadibani. Oko kukuthi, akukho kuvulwa kwempundu.

Kutheni oku kwenzeka kubantwana abancinci?

Iingcali azikayazi kakuhle into ebangela ukungasebenzi kakuhle kwe-anorectal, kodwa ezinye zikholelwa ukuba utshintsho oluthile lwemfuza olwenzeka ngexesha lokukhulelwa lunokuba negalelo kule meko.

Ngaba abantwana abanezi "Anorectal Malformations" banokuba nezinye iingxaki zempilo?

Ngamanye amaxesha, ewe. Abantwana abanezi "Anorectal Malformations" banokuba nezinye iingxaki zempilo. Nazi imizekelo embalwa:

• Imeko ye-Down syndrome.
• Ezinye izifo zenkqubo yokugaya ukutya (izifo zesisu (GI).
• Iimeko ezithile zomqolo.
• Isifo seTownes-Brocks: Esi sisifo semfuza. Kule meko, i-anus isenokuba ayikho okanye ivaleke ngokupheleleyo (imperforate). Izandla neendlebe nazo zinokuba nemilo engaqhelekanga.
• Iingxaki zomchamo.
• I-VATER syndrome (unxulumano lwe-VACTERL): Le yimeko echaphazela iinkqubo ezahlukeneyo emzimbeni. Umzekelo, umqolo, intliziyo, inkqubo yokugaya ukutya, izintso kunye namalungu omzimba zinokuchaphazeleka.

Ifunyanwa njani le meko ngokuchanekileyo?

Oogqirha badla ngokuxilonga le meko ngovavanyo lomzimba. Ukongeza, ezinye iimvavanyo zomfanekiso zingasetyenziswa ukuqinisekisa ngakumbi nokujonga imeko. Ezinye zezi vavanyo ziquka:

• I-Barium enema: Olu vavanyo lubandakanya ukufaka ulwelo kwi-rectum ukuze lugqume ingaphakathi lendlela yokugaya ukutya. Oku kuvumela amalungu ukuba abonakale ngokucacileyo kwi-X-ray.
• Uvavanyo lweBarium swallow / Esophagram: Kolu vavanyo, kuginywa ulwelo kwaye iindawo eziphezulu zenkqubo yokugaya ukutya zijongwa ngokucacileyo nge-X-ray.
• Iiskeni ze-CT:Iikhompyutha kunye nee-X-reyi zisetyenziselwa ukuthatha imifanekiso yangaphakathi lomzimba.
• IiMRI: Sebenzisa iimagnethi kunye namaza erediyo ukujonga ngaphakathi emzimbeni.
• Ii-ultrasound: Sebenzisa amaza esandi asebenza rhoqo ukujonga amalungu angaphakathi.
• Ii-X-reyi: Sebenzisa idosi encinci yemitha ukufota ingaphakathi lomzimba.

Ziphathwa njani ezi `(Anorectal Malformations)`?

Oogqirha badla ngokunyanga le meko ngotyando . Ngamanye amaxesha, utyando olunye lunokuvula indlela encinci okanye lususe ulwelo olugqume i-anus yomntwana. Banokwenza notyando olubizwa ngokuba yi-anoplasty, oluyakha kwakhona i-anus yomntwana.

Khawucinge nje, ukuba umntwana unemeko ethi "i-imperforate anus", oogqirha benza utyando oluninzi ngamanqanaba okudibanisa i-anus ne-rectum. Olu tyando lulandelayo:

1. I-Colostomy: Kule nkqubo, ugqirha wotyando wahlula amathumbu amakhulu abe ngamacandelo amabini aze akhuphe iziphelo zawo ngemingxuma emibini esiswini. Emva koko umntwana kufuneka anxibe iingxowa zokuqokelela eziqokelela ilindle ngaphandle komzimba. Indle kunye ne-mucus (ulwelo olufana ne-mucus) zidlula kwezi ngxowa.

2. Ukulungiswa kwe-anorectal: Ngokwesiqhelo, xa umntwana eneenyanga ezimbalwa ubudala, oogqirha badibanisa i-anus kunye ne-rectum. Emva kolu tyando, indle iyaqhubeka nokuphuma nge-colostomy bag de umntwana aphole.

3. Ukuvalwa kweColostomy: Kwiinyanga ezimbini ukuya kwezintathu emva kotyando lwesibini, kwenziwa olunye utyando lokususa isikhwama seColostomy. Emva koko, umntwana uya kuqala ukuphuma endle nge-anus kwiintsuku ezimbalwa.

Usenokuziva usoyika xa usiva ngezi tyando. Kodwa khumbula ukuba ezi zenzelwe ukuphucula ikamva lomntwana. Oogqirha baza kukuchazela yonke into.

Zeziphi iingxaki okanye iziphumo ebezingalindelekanga ezinokubakho emva kolu nyango?

Abantwana abaye batyandwa ukuze kulungiswe ukungasebenzi kakuhle kwe-anorectal banokuba nobunzima bokuqeqeshwa kwindlu yangasese kunabanye abantwana. Basenokuba nobunzima bokulawula ukuhamba kwamathumbu abo okanye banokuba nokuqunjelwa okungapheliyo. Kukwabikwa nokuba abantu abaye benza olu tyando besengabantwana ngamanye amaxesha bahlangabezana nokungasebenzi kakuhle ngokwesondo xa bebadala.

Ngaba le `(Anorectal Malformation)` ingathintelwa?

Akukho ndlela yokuthintela umntwana ukuba azalwe enale `(i-Anorectal Malformation)`. Nangona kunjalo, emva kokuyinyanga, ungamnceda umntwana wakho aphile ubomi obusemgangathweni.

Ukuba uqaphela ukuba umntwana wakho ufumana iingxaki emva konyango – ezinje ngokuqhinwa – mse kugqirha ngoko nangoko. Ugqirha womntwana wakho unokumcebisa amayeza okuhambisa isisu, utshintsho kwindlela yokutya, okanye olunye unyango ukunceda ukunciphisa iimpawu. Usenokucebisa nenkqubo yolawulo lwamathumbu ukuba umntwana wakho unengxaki yokulawula ukuhamba kwamathumbu.

Ngubani ochaphazeleka kakhulu yile meko?

Ukukhubazeka kwe-anorectal kuqheleke kakhulu kubafana kunamantombazana.

Kwakhona, abazali abasele benomntwana omnye one-Anorectal Malformation banamathuba amaninzi okuba nomnye umntwana onesi sifo. Ukuba sele unomntwana onesi sifo, umntwana wakho olandelayo unethuba eli-1 kwi-100 lokuba ne-Anorectal Malformation.

Iyintoni ikamva lale meko?

Uninzi lweentsana ezizalwa zine-Anorectal Malformation zinyangwa kwiintsuku zokuqala zobomi. Uninzi lwabantwana luyaphila kakuhle emva kotyando kwaye alunazo iingxaki.

Abanye abantwana banokuqhubeka nokuqhinwa okanye ubunzima bokulawula ukuhamba kwamathumbu emva kotyando. Kwiimeko ezinjalo, unyango oluthile - olufana "nenkqubo yokulawula amathumbu" ekhankanyiweyo ngaphambili - lunokuba luncedo.

Ufanele uye nini kugqirha womntwana wakho?

Ukuba umntwana wakho unezinye zeempawu ezilandelayo, bonana nogqirha ngokukhawuleza:

• Ukuba awuphuli ndle konke konke.
• Ukuba unesisu.
• Ukuba indle iphuma kwilungu lobufazi (kumantombazana).
• Ukuba kukho imiqondiso ebonakalayo yendle kumchamo.
• Ukuba umchamo uvuza kwi-anus.

Yeyiphi imibuzo omele uyibuze ugqirha womntwana wakho?

Ukuba umntwana wakho une-Anorectal Malformation, okanye ucinga ukuba unokuba nayo, ungabuza ugqirha womntwana wakho le mibuzo:

• Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe i-Anorectal Malformation?
• Ngaba umntwana wam udinga utyando ukuze anyangwe oku?
• Ziziphi iimpawu zeengxaki ezinokwenzeka emva kotyando?
• Ndingamnceda njani umntwana wam ukuba angabhityi?
• Ndingazi njani ukuba umntwana wam udinga "inkqubo yokulawula amathumbu"?

Okokugqibela, izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukukhubazeka kwe-anorectal yimeko apho i-anus okanye i-rectum yomntwana ingakhuli kakuhle ekuzalweni. Kunokuba yinto eyoyikisayo ukwazi ukuba umntwana wakho unesifo sokuzalwa. Nangona kunjalo, utyando lunokulungisa ingxaki kwiintsuku ezimbalwa emva kokuzalwa. Uhlobo lotyando umntwana wakho aludingayo luya kuxhomekeka kuhlobo lwesiphene kunye nokuba sikhulu kangakanani. Uninzi lweentsana luya kuphila kakuhle emva konyango.Ngoko ke ungoyiki, landela icebiso likagqirha, kwaye yonke into iya kulunga!

Ukungasebenzi kakuhle kwe - Anorectal, Iziphene ze-Anorectal, Iziphene ze-Anorectal, Iziphene zokuzalwa, Iintsana ezisandul' ukuzalwa, Ubunzima bokuthulula, i-Colostomy, Utyando